Education

Confidence levels of students before and after a minor illness/injury placement

Within the UK, the paramedic scope of practice has noticeably changed over recent years. Many paramedics are now going into roles within general practice surgeries, minor injury units, and urgent care treatment centres. A framework including a skill set was therefore initiated outlining the need for more non-ambulance placements within the undergraduate paramedic curriculum. This article reports the findings of a quantitative study, exploring the confidence levels in managing patients both...

Novel moving, handling and extraction simulation for students in a soft play area

Background: Emergency medical services often have to extricate patients from their location and take them to an ambulance. High-quality training is required to ensure patient and staff safety during moving, handling and extrication manoeuvres. This study aimed to determine student satisfaction and self-confidence regarding what they had learnt after a novel moving, handling and extrication simulation exercise in a children's soft play area. Methods: A mixed-methods cross-sectional survey was...

Effects of simulation training on student confidence in de-escalation skills

Background: There is increasing demand for access to mental health support services both for ongoing care and at time of crisis. Preparation of undergraduate students for encounters with those with ongoing mental health care and/or at a time of psychological distress/crisis remains sporadic and difficult to encompass. Simulation gives students opportunities to develop technical and non-technical skills through the recreation of an experience that is as close to reality as possible. Method: An...

Lateral versus over-the-head chest compression quality in student paramedic

Background: Chest compressions are one of the few interventions proven to improve survival from out-of-hospital cardiac arrest. While rescuer position has been investigated before, few studies have sought to assess how rescuer position affects the quality of chest compressions in a cohort of student paramedics. Aim: This study sought to determine if chest compressions performed from an over-the-head (OTH) position were more effective than those performed from a lateral (LAT) position in a cohort...

The effect of COVID-19 on student opportunities to acquire airway skills

Background: To protect healthcare providers during the COVID-19 pandemic, substantial changes were made to clinical care guidelines across the United States. Alongside these changes, emergency medical services call volume decreased nationwide. These made it difficult for paramedic students to practise and master the practical skills necessary for skill competency and graduation. The aim of this study was to explore the changes in the number of opportunities available to paramedic students...

Differential rater function over time (DRIFT) during student simulations

Background The field of paramedicine continues to advance in scope. Simulation training is frequently used to teach and evaluate students. Simulation examinations are often evaluated using a standardised global rating scale (GRS) that is reliable and valid. However, differential rater function over time (DRIFT) has not been evaluated when using the GRS during simulations. Aims This study aimed to assess if DRIFT arises when applying the GRS. Methods Data were collected at six simulation...

Students' experience and perceived value of a clinical simulation centre

Background: The emergence of new technology and innovation has seen dedicated simulation centres being designed and built to assist with the development of a range of professionals within the ever-changing healthcare setting. Focusing on the university environment, this study examined the extent to which paramedic students perceive these simulation centres as efficient and effective learning spaces. Methods: Using evaluation research, data were collected from 33 students studying paramedic...

‘Giving a piece of you’: the lecturer experience of aiding student wellbeing

Background: The mental health of ambulance clinicians is a national priority. For student paramedics, the risk and inherent vulnerability to poor mental wellbeing are significant. However, evidence exploring support in universities for paramedic students and the role of academic faculty in this within paramedic preregistration programmes is limited. Aims: To explore the experiences and perceptions of university lecturers towards supporting student paramedic wellbeing. Methods: A qualitative...

Remote-facilitated mental simulation to bridge the theory-practice divide

Remote simulation in education predates the COVID-19 pandemic, and its more widespread contemporary use can help inform future teaching practices. This article outlines the development of a remote-facilitated mental simulation (RFMS) delivered to second-year paramedic science students at a UK university. This was created using Sprick et al's simulation design model: preparation, briefing, simulation activity, debriefing, reflection and evaluation. Mental simulation is a teaching modality where...

Are paramedic graduates effectively prepared for death? A scoping review

Paramedics often come across death because of the nature of their work. Attending an incident involving the death of a patient could affect a paramedic's mental health. A scoping literature review surrounding the readiness and education regarding death in the prehospital setting for paramedic students was carried out. Given the potential impact upon practitioner mental health, the review aimed to determine the quality and extent of new research regarding education in death for paramedics. Four...

Building ad-hoc team social capital through simulation

The concept of high functioning healthcare teams is complex and competencies have been developed primarily from aviation. High-functioning healthcare teams, including those formed in an ad-hoc manner, are crucial to positive patient outcomes. Social capital theory identifies structural, cognitive and relational dimensions involved in the formation of trusting, cohesive relationships. Theories of social capital can be used to advise the development of interprofessional simulation-based education....

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